NPIMap

Organization Active NPI

Ctr for Autism and Neurodevelopmental Disorders

  • Developmental Disabilities Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1013339605
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CTR FOR AUTISM AND NEURODEVELOPMENTAL DISORDERS
Practice address
2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518
Phone
(949) 267-0400
Fax
(949) 221-0004
NPI assigned
Jan 15, 2014
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA REGENTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph H. Donnelly, MD
Title
Director
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

2500 Red Hill Ave
Suite 100
Santa Ana, CA 92705-5518

Mailing address

PO Box 54559
Los Angeles, CA 90054-0559
Phone (714) 456-3724

National Provider Directory

National Provider Directory
Tax ID family
Choc Children's Subspecialty Clinic- Pulmonary10 organizations share this tax ID, including this one
Part of
Uci Student Health Center Pharmacy

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1013339605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54559",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540559",
            "telephone_number": "714-456-3724",
            "fax_number": "714-456-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RED HILL AVE",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055518",
            "telephone_number": "949-267-0400",
            "fax_number": "949-221-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTR FOR AUTISM AND NEURODEVELOPMENTAL DISORDERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA REGENTS",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.